PMID- 22069282 OWN - NLM STAT- MEDLINE DCOM- 20120325 LR - 20221207 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 27 IP - 8 DP - 2011 Nov TI - Discordant association of islet autoantibodies with high-risk HLA genes in Chinese type 1 diabetes. PG - 899-905 LID - 10.1002/dmrr.1270 [doi] AB - BACKGROUND: To reveal the aetiology of diabetes, the relationships between the islet autoantibodies, human leukocyte antigen (HLA)-A and DRB1 genotypes in the Chinese patients with type l diabetes (T1D) were investigated in our study. METHODS: In the cross-sectional and case-control study, peripheral blood samples were collected from 600 T1D patients and 102 healthy controls. The genetic polymorphisms of HLA-A and DRB1 are examined with polymerase chain reaction-sequence oligonucleotide probe method. The zinc transporter 8 antibody (ZnT8A), glutamic acid decarboxylase antibody (GADA) and protein-tyrosine-phosphatase-2 autoantibody (IA2A) were detected by radioligand assay. RESULTS: The A*2402, DRB1*0301, DRB1*0405 and DRB1*0901 alleles, and A*1101-DRB1*0901, A*2402-DRB1*0405 and A*2402-DRB1*0901 haplotypes were associated with T1D (all p<0.05). The positive rates of ZnT8A in patients carried DRB1*0901, IA2A in patients carried DRB1*0405 and A*1101-DRB1*0901 and GADA in patients carried DRB1*0901 and A*2402-DRB1*0901 were significantly higher than those not carried (p<0.05). HLA-DRB1*0901 was the independent risk factor of positive antibody in T1D patients. In addition, higher body mass index is also related with the loss of islet function besides high-risk HLA gene and islet autoantibody (p<0.05). CONCLUSIONS: The discordant association of autoantibodies with high-risk HLA gene may indicate the different immunology mechanisms of those autoantibodies. And metabolic burden resulting from overweight may accelerate apoptosis of beta cells. CI - Copyright (c) 2011 John Wiley & Sons, Ltd. FAU - Gu, Yong AU - Gu Y AD - Department of Endocrinology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. FAU - Zhang, Mei AU - Zhang M FAU - Chen, Heng AU - Chen H FAU - Wang, Zhixiao AU - Wang Z FAU - Xing, Chunyan AU - Xing C FAU - Yang, Hui AU - Yang H FAU - Xu, Xinyu AU - Xu X FAU - Liu, Yu AU - Liu Y FAU - Zhou, Zhiguang AU - Zhou Z FAU - Yu, Liping AU - Yu L FAU - Hutton, John AU - Hutton J FAU - Eisenbarth, George AU - Eisenbarth G FAU - Yang, Tao AU - Yang T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (Autoantibodies) RN - 0 (Cation Transport Proteins) RN - 0 (HLA-A Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (ICA512 autoantibody) RN - 0 (SLC30A8 protein, human) RN - 0 (Zinc Transporter 8) RN - EC 3.1.3.48 (PTPRN protein, human) RN - EC 3.1.3.48 (Receptor-Like Protein Tyrosine Phosphatases, Class 8) RN - EC 4.1.1.15 (Glutamate Decarboxylase) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Asian People/genetics MH - Autoantibodies/analysis/*blood/immunology MH - Body Mass Index MH - Case-Control Studies MH - Cation Transport Proteins/genetics/immunology MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 1/*genetics MH - Female MH - Glutamate Decarboxylase/genetics/immunology MH - HLA-A Antigens/*genetics MH - HLA-DRB1 Chains/*genetics MH - Humans MH - Infant MH - Islets of Langerhans/*immunology/physiology MH - Male MH - Middle Aged MH - Polymorphism, Genetic MH - Receptor-Like Protein Tyrosine Phosphatases, Class 8/genetics MH - Zinc Transporter 8 EDAT- 2011/11/10 06:00 MHDA- 2012/03/27 06:00 CRDT- 2011/11/10 06:00 PHST- 2011/11/10 06:00 [entrez] PHST- 2011/11/10 06:00 [pubmed] PHST- 2012/03/27 06:00 [medline] AID - 10.1002/dmrr.1270 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2011 Nov;27(8):899-905. doi: 10.1002/dmrr.1270.